经曰∶足受血而能步，手受血而能摄，掌受血而能握。动言视听，无非血养。是证若膏粱之士
，感于中风之后，兼以语謇流涎，乃痰饮随气入于四肢，无血以养，故不能举动也。专宜治痰，不
须养血、壮筋骨等药。有水竭火盈，耗损营血，宗筋失养而致，宜养血滋阴；有肥甘过享，脾土太
实所致，宜三化承气汤泻，令阳虚土平可安，有脾虚不能为胃行其津液以达四肢，故不举，当十全
大补汤随证加味可也。
主方 （膏粱风痰壅盛） 橘红 贝母 胆星（各二钱） 茯苓 白附子 天麻 栝蒌仁（去油） 白
芥子 海石（研。各一钱）水二钟，生姜五片，枇杷叶三大片（去毛蜜炙），煎八分，入竹沥一杯，姜汁
十匙，食后服。
举世皆谓风邪中于脏腑，痰饮留于经络。专用祛风豁痰之药，多不见效。外用鳝血吊法，尤为
非理。
切戒！治法当以清火养血为主，或兼散郁行气。有风痰者兼而治之，必宜顿服药饵。脉洪火炎，涩
为血少。
主方 黄连 黄芩 栀子 当归 芍药 川芎 生地 天麻 秦艽 木瓜（等分）上水煎温服。
火盛加连翘、石膏、玄参；便秘加大黄；滋阴天门冬、麦门冬、知母、黄柏、甘菊、枸杞、五
味、牛膝、石斛、人乳；利气，乌药。
经曰∶神伤于思虑则肉脱；意伤于忧愁则肢废；魂伤于悲哀则筋挛；魄伤于喜乐则皮槁；志伤
于盛怒则腰膝难以俯仰。勿谓肢废筋挛等概作风治，更有五志过及，六淫气侵，劳伤气血，房帏精
脱，凶丧暮夜，邪恶冲触及 厥、尸厥、痰厥、气厥、血厥等证，皆至卒暴倒仆不省。先宜掐人中
、取嚏、艾灸等法（见前，）急煎主方，同苏合香丸。中风寒、暑、湿皆可服。少苏，详辨证名，
各根据本门治理。
主方 （摄生饮诸卒中） 半夏（姜汤泡） 南星（湿纸包，煨） 木香（各二钱半） 苍术（生）
甘草（生） 北细辛 石菖蒲（各一钱）
上剂加生姜七片，水煎，磨入木香，温服。调苏合丸同灌，尤佳。
痰盛加全蝎（炙，研）二枚。
《黄帝内经》中说：脚得到血液的滋养才能行走，手得到血液的滋养才能抓取，手掌得到血液的滋养才能握持。说话、言语、视物、听觉，无不依赖血液的濡养。这种病症如果发生在享受膏粱厚味的富贵之人身上，在感受中风之后，又兼有言语蹇涩、流口水等症状，这是由于痰饮随着气机运行进入四肢，因缺乏血液濡养，所以不能活动。治疗应当专门针对痰饮，不需要使用养血、强壮筋骨等药物。
有的情况是由于水液枯竭而火邪亢盛，耗损了营血，导致宗筋（指生殖器及周围筋膜，此处引申为肢体筋脉）失去濡养所致，适宜采用养血滋阴的方法；有的是因为过度享用肥甘厚味，导致脾土过于壅实所致，适宜用三化承气汤进行泻下，使阳气虚衰、脾土平和即可安宁；有的是因为脾气虚弱，不能为胃传输津液以到达四肢，所以肢体不能举动，应当使用十全大补汤并根据证候加减用药即可。
主方（适用于膏粱厚味导致风痰壅盛者）：橘红、贝母、胆南星（各二钱）、茯苓、白附子、天麻、瓜蒌仁（去油）、白芥子、海浮石（研碎，各一钱）。用水两钟，生姜五片，枇杷叶三大片（去毛，用蜜炙），煎至八分，加入竹沥一杯，姜汁十匙，饭后服用。
世人都认为风邪中于脏腑，痰饮留于经络。专门使用祛风豁痰的药物，大多不见效。外用鳝鱼血吊法，更是违背医理。务必戒除！治疗方法应当以清火养血为主，或者兼以疏散郁结、行气。有风痰的患者兼治之，必须顿服药物。脉象洪大表示火邪炽盛，脉象涩滞表示血液亏少。
主方：黄连、黄芩、栀子、当归、芍药、川芎、生地、天麻、秦艽、木瓜（等分）。以上药材用水煎煮，温服。火邪旺盛者加连翘、石膏、玄参；便秘者加大黄；滋阴者用天门冬、麦门冬、知母、黄柏、甘菊、枸杞、五味子、牛膝、石斛、人乳；利气者用乌药。
《黄帝内经》说：神志因思虑过度而受伤，则肌肉消瘦脱失；意念因忧愁过度而受伤，则肢体废用；魂因悲哀过度而受伤，则筋脉拘挛；魄因喜乐过度而受伤，则皮肤枯槁；意志因大怒过度而受伤，则腰膝难以俯仰。不要认为肢体废用、筋脉拘挛等都一概按中风治疗，更有五志（喜、怒、忧、思、恐）过极，六淫（风、寒、暑、湿、燥、火）之气侵袭，劳损伤及气血，房事过度导致精液脱失，凶丧之事在暮夜发生，邪恶之气冲撞触及，以及厥证、尸厥、痰厥、气厥、血厥等各种证候，都会导致突然昏倒仆地、不省人事。先宜掐人中穴、取嚏、艾灸等方法（见前文），急煎主方，配合苏合香丸灌服。中风寒、暑、湿皆可服用。稍苏醒后，详细辨证病名，各自根据本门类治理。
主方（摄生饮，适用于各种卒中）：半夏（姜汤浸泡）、南星（湿纸包裹，煨制）、木香（各二钱半）、苍术（生用）、甘草（生用）、北细辛、石菖蒲（各一钱）。以上药剂加生姜七片，用水煎煮，磨入木香汁，温服。调服苏合香丸一同灌服，效果更佳。痰盛者加全蝎（炙，研碎）二枚。
The *Yellow Emperor's Inner Classic* states: The feet receive blood nourishment to enable walking; the hands receive blood nourishment to enable grasping; the palms receive blood nourishment to enable holding. Speaking, hearing, and seeing all rely on blood nourishment. If this syndrome occurs in individuals accustomed to rich and greasy foods after contracting wind-stroke, accompanied by slurred speech and drooling, it is due to phlegm-fluids entering the four limbs following the movement of Qi, lacking blood nourishment, thus rendering them immobile. Treatment should focus exclusively on resolving phlegm, without the need for herbs that nourish blood or strengthen sinews and bones.
In some cases, water exhaustion leads to fire hyperactivity, consuming Ying-blood (nutritive blood), causing the Zongjin (major sinews/tendons) to lose nourishment; these cases require nourishing blood and yin. In other cases, excessive consumption of sweet and fatty foods causes Spleen-earth to become overly full; these cases are suitable for purging with Sanhua Chengqi Tang (Three Transformations Bowel-Regulating Decoction) until Yang deficiency and balanced Spleen-earth restore stability. In yet other cases, Spleen deficiency fails to transport fluids from the Stomach to the four limbs, resulting in immobility; these cases can be treated with Shiquan Dabu Tang (Ten Significant Tonifying Decoction) with modifications based on the specific presentation.
Main Formula (for wind-phlegm congestion due to rich diet): Juhong (Citrus Reticulatae Pericarpium), Beimu (Fritillariae Bulbus), Danshen (Arisaematis Cum Bile), Fuling (Poria), Baifuzi (Typhonii Rhizoma), Tianma (Gastrodiae Rhizoma), Gualouren (Trichosanthis Semen), Baijiezi (Brassicae Semenis Albi), Haishi (Calcitum). Each at 2 qian (approx. 6g) for Juhong, Beimu, Danshen; 1 qian (approx. 3g) for Fuling, Baifuzi, Tianma, Gualouren, Baijiezi, Haishi. Use two zhong (approx. 400ml) of water, five slices of fresh ginger, three large leaves of Pipaye (Loquat Leaf, honey-fried and de-hairy). Decoct to 8/10 volume. Add one cup of Zhuli (Bamboo Sap) and ten spoons of Jiangzhi (Fresh Ginger Juice). Take after meals.
The world generally believes that wind-pathogen strikes the Zang-Fu organs and phlegm-fluids remain in the meridians. Using only wind-dispelling and phlegm-resolving drugs often yields no effect. The external method of using eel blood hanging is particularly illogical. This must be strictly avoided! The treatment method should prioritize clearing fire and nourishing blood, or alternatively, dispersing stagnation and moving Qi. For those with wind-phlegm, treat both simultaneously, ensuring the medication is taken in a single dose. A洪 (Hong) pulse indicates blazing fire; a Se (Se) pulse indicates blood deficiency.
Main Formula: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix), Tianma (Gastrodiae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Mugua (Chaenomelis Fructus). Equal parts. Decoct in water and take warm. If fire is excessive, add Lianqiao (Forsythiae Fructus), Shigao (Gypsum Fibrosum), Xuanshen (Scrophulariae Radix). If constipated, add Dahuang (Rhei Radix et Rhizoma). For nourishing yin, use Tiantaimen Dong (Asparagi Radix), Maimendong (Ophiopogonis Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Ganju (Chrysanthemi Flos), Gouqi (Lycii Fructus), Wuwei Zi (Schisandrae Fructus), Niuxi (Achyranthis Bidentatae Radix), Shihu (Dendrobii Caulis), Renru (Human Milk). For moving Qi, use Wuyao (Linderae Radix).
The *Yellow Emperor's Inner Classic* states: When Shen (Spirit) is injured by excessive thought, flesh wastes away; when Yi (Intellect) is injured by excessive worry, limbs become disabled; when Hun (Ethereal Soul) is injured by excessive sorrow, sinews contract; when Po (Corporeal Soul) is injured by excessive joy, skin becomes dry; when Zhi (Will) is injured by excessive anger, waist and knees become difficult to flex and extend. Do not assume that limb disability and sinew contraction are always treated as wind-stroke. There are also conditions caused by the excess of the Five Emotions (Joy, Anger, Worry, Thought, Fear), invasion by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire), qi and blood injury from overwork, essence depletion from sexual indulgence, shock from bereavement occurring at night, or collision by evil spirits. These include Jue (Syncope), Shijue (Corpse-like Syncope), Tanjue (Phlegm Syncope), Qijue (Qi Syncope), and Xuejue (Blood Syncope), all leading to sudden collapse and unconsciousness. Initially, pinch the Renzhong acupoint (GV26), induce sneezing, and apply moxibustion (see previous sections). Immediately decoct the main formula and administer together with Suhexiang Wan (Styrax Pill). It can be used for wind-cold, summerheat, and dampness strokes. Once slightly revived, carefully differentiate the syndrome name and treat according to the respective category.
Main Formula (Shesheng Yin, applicable to various apoplexies): Banxia (Pinelliae Rhizoma, soaked in ginger juice), Nanxing (Arisaema Cum Bile, wrapped in wet paper and roasted), Muxiang (Aucklandiae Radix), each 2.5 qian (approx. 7.5g); Cangzhu (Atractylodis Rhizoma, raw), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Beixixin (Asari Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), each 1 qian (approx. 3g). Add seven slices of fresh ginger to the above mixture. Decoct in water, grind in Muxiang juice, and take warm. Administer together with Suhexiang Wan for better efficacy. If phlegm is excessive, add Quanxie (Scorpio, roasted and powdered), two specimens.